Organization
CONSUMER'S CHOICE HOME, LLC.
Active
Other names
Kate's Home Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORVILLE CASTELAR DY (MEMBER)
(909) 899-5773
Entity
Organization
Contact information
Practice address
13100 RIESLING DR, RANCHO CUCAMONGA, CA 91739-9406
(909) 899-5773
Mailing address
PO BOX 86, RANCHO CUCAMONGA, CA 91739-0086
(909) 899-5773
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
366411417
CA
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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